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City of Federal Way Electrical Permit #: 05 - 102107 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-3050
Project Name: BOATERS WORLD
Project Address: 3131 PACIFIC S Parcel Number: 082104 9181
Project Description: Install low-voltage voice&data cabling for tenant improvements.
Owner Applicant Contractor
ALEXANDER HAAGEN OPERATIN PRIDE ELECTRIC INC PRIDE ELECTRIC INC
3500 N SEPULVEDA BLVD 3984 150TH AVE NE 3984 150TH AVE NE
MANHATTAN BEACH CA REDMOND WA 98052 REDMOND WA 98052
90266-3638 (425)454-3665
Electrical Fixtures
Description 'Quantity Description 'Quantity j Description IQuantity
Low Voltage-Other Commercial 10000
PERMIT EXPIRES November 2,2005.
Permit issued on May 6,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ; ,e in accord• a e with the laws,rules and regulations of the State of Washington and
the City of Federal W. .
Owner or agent`. Date: G ��
THIS CARD IS TO REMAIN ON-SITE -
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
•
PERMIT#: 05-102107-00-EL
Owner:
Address: 31319 PACIFIC HWY S
FEDERAL WAY, WA 98003-5427
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ►5 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By'�i,Q Date S to
❑ Under-slab groundwork(4295)
Approved
By Date
OF
1 ;" r- R .,EC _ CONSTRUCTION PERMIT APPLICATION
VV 1ZRL APPLICATION NUMBER: O5 _16.21y 6 E�
MAY 0 6 2005 APPLICATION NUMBER: -
- APPLICATION NUMBER: - •
-
CITY OF FEDEF 6�
r **The folT®IN i'Itformation-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
- = - - - ' - - ■ .PROPERTY INFORMATION ' -
C/
SITE ADDRESS: 3/ //3 Pian'A-7L /Y11//" ,..5-. ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• : • -.i-7.,:C -- `, ' ._t, -- , ■. PROTECT INFORMATION - - .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION_
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): V O/rC g •Q_N c- .46 -e7.-- -- ��/T'//
PROJECT NAME: /07a7e/(5 w,f/d -+' /7Q 7
` ■ PEOPLE INFORMATION - •
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS; Y,STATE,ZIP): ( )
CIT
CONTRACTOR: NAME: kC_•®� G DAYTIME PHONE: l
/(NG ADDRESS ADDRESS;CITY, C-): (y2r)ysy -3665 !
pY EVENING PHONE: i
390 CITY OFFEDE/RAs-Bl1 N'�ye_..�,�ENSE .�e4-07444, tv4- 9" - (YzS)yE6- 8/go
FAX NUMBER:/7�
CONTRACTOR'S REGISTRATION NUMBER: / 2' 3 / 0 3 `s L (5'z -) " T 7 700 I
//J��aZ O EXPIRATION DATE:
r(copy of card required) /'jam Z7'ORA _ _ 3 / 0 7
APPLICANT: NAME
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING P`H ONE:
RELATIONSHIP TO PROJECT FAX NUMBER
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( )
E-MAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑ APPLICANT ,CONTRACTOR .R.1.-eeZ
• ' ■ DETAILED BUILDING INFORMATION - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: Ara// PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
most
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ 1
•
• . - • PROTECT FLOOR AREAS _ I
FLOOR EXISTING SQ.FT. ' PROPOSED SQ.FT, TOTAL
BASEMENT •
• •
FIRST /OQGQ
�D� oao 1
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL:
• FIXTURES
Indicate number of each type of fixture -
•
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. - ' - V•
V • • DISCLAIMER/SIGNATURE BLOCK .
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I 1
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the !
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information suppl'-. to the d as a part of this application.
NAME/TITLE: _,... ./ .40' _ , L.L.., DATE: Of
dI
❑ PROPERTY OWNER ❑ APPLICANT , IMSQNTRACTOR
:FOR OFFICE USE ONLY:
,D:NN' -[]-ADDITION 0 ALTERATION - - ❑REPAIR U-TENANT IMPROVEMENT
'CENSUS CODE: _ LOT SIZE: - - -
;ZONING,DESIGNATION: BUILDING SHELL-ONLY? ❑YES' 0 NO
-COMP PLAN DESIGNATION BASIC PLAN? ` 0 YES 0 NO
SECTION:;_ i- _ TOWNSHIP RANGE NEW ADDRESS.REQUIRED? 0 YES ❑ NO
PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129
www.citvoffederalway.com